Unit 1: Introduction to Health and Wellness

Question 1

When is someone old, or what is normal aging? (3)

Answer 1

• Life span (max # of years)
• Life expectancy (85ish)
• Population based

Question 1

What is chronological aging?

Answer 1

• individuals in the age range associated with being an older adult (65+)

Question 2

What are the age ranges associated with being an older adult? (5)

Answer 2

• young-old (65-75)
• Middle-old
• Old-old
• Centenarians (100+)
  lots of heterogeneity among older adults

Question 3

How is an adult determined to be old?

Answer 3

• determined by society and culture

Question 4

What is the role of the nurse in caring for the older adult? (6)

Answer 4

1. recognize cues
2. Analyze cues
3. Prioritizing hypothesis
4. Generating solutions
5. Taking action
6. Evaluating outcomes

Question 5

In heterogeneity of aging, what is the life course theory? (3)

Answer 5

1. What happens in your younger life will affect what happens to you in later life (social and cultural context)
2. People experience events differently and it will have different effects on them (on emotion, physical and psychological)
3. Things can happen that can change the course of life (unpredictable)

Question 6

What is the goal of the nurse in caring for the older adult?

Answer 6

optimize wellness - highest level of functioning

Question 7

What is the definition of health?

Answer 7

• a state of complete physical, mental, and social wellbeing

Question 8

What is the definition of illness? (2)

Answer 8

• culture-bound syndromes or cultural idioms of distress
• our understanding of symptoms and pain

Question 9

What is health thought of in LATER life?

Answer 9

• functional ability rather than absence of disease

Question 10

What is wellness?

Answer 10

• a condition that does not focus on the pathological situation but rather on how the person is able to achieve health in their circumstances

Question 11

What is functional ability?

Answer 11

• the cognitive, social, physical. and emotional abilities to carry out normal activities of life

Question 12

What are normal daily activities to give exemplar to functional ability? (2)

Answer 12

• fulfilling usual rules in the family, workplace, and community,
• maintaining health and wellbeing

Question 13

What is functional ability/intrinsic capacity as defined by the WHO? (2)

Answer 13

• maximize physical and mental intrinsic capacity
• walk, see, hear, and remember
  integrated care

Question 14

For healthy aging, what are 3 hypothetical trajectories of physical capacity?

Answer 14

1. Optimal trajectory
2. Interrupted trajectory
3. Declining trajectory
   see page 31

Question 15

What is optimal trajectory?

Answer 15

Intrinsic capacity remains high until the end of life

Question 16

What is interrupted trajectory?

Answer 16

An event causes a decrease in capacity with some recovery

Question 17

what is declining trajectory?

Answer 17

• capacity decline steadily until death

Question 18

What are some examples of types of wellness? (6)

Answer 18

1. Social
2. Biological (physical)
3. Psychological
4. Spiritual
5. Cultural
6. Environmental

Question 19

Illness can lead to declining ___ ___

Answer 19

functional ability

Question 20

What should nurses align care to? (2)

Answer 20

• align care to what matters the most
• the every day activities that reinforce the meaning of life to the older adult